Type 2 Diabetes
Conditions
Keywords
Latinos
Brief summary
The goal of this clinical trial is to learn about digital literacy training in adult, Latino patient with type II diabetes. The main question it aims to answer is: Can providing digital literacy training during a hospital admission can help patients with their after-hospital care by using the patient portal and telehealth? Participants will receive digital literacy training by a digital navigator that focuses on the main patient portal functions. Researchers will compare patients who receive digital literacy training to those who receive standard of care (educational sheet) to see if it impacts their use of the patient portal after discharge.
Detailed description
Latinos have the second-highest age-adjusted prevalence and among the highest incidence of diabetes. Latinos also experience worse glycemic control and diabetes-related complications, including diabetic retinopathy and chronic renal disease. These findings are concerning since Latinos are the largest minority group in the U.S and will account for 25% of the population by 2045. Digital tools, like patient portals and telemedicine, offer an opportunity to address some of the challenges that lead to these disparities, especially during care transitions. However, Latinos, especially those who are Spanish-speaking are less likely to use digital health tools. Findings from previous health information technology work have highlighted barriers, including 1) digital access and literacy, 2) interface usability, 3) privacy, and 4) patient preference. One promising intervention to address digital literacy gaps is the use digital navigators. This study aims are to assess a digital health navigation intervention focused on increasing patient portal use after discharge among Latino patients with type II diabetes admitted to the general medicine inpatient floor.
Interventions
OTHERDigital Navigation
1:1 educational support at the bedside about the functions of the patient portal and telehealth that can help with care transitions.
Sponsors
Brigham and Women's Hospital
National Institute on Minority Health and Health Disparities (NIMHD)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE (Investigator, Outcomes Assessor)
Intervention model description
Researchers will compare effectiveness between two arms: 1) patient education using a digital navigator on using digital tools after discharge and 2) usual care (educational sheet).
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Self-identified Latino adult patients with type II diabetes * Admitted to general medicine floors at Brigham and Women's Hospital * Preferred language: English or Spanish
Exclusion criteria
* Critical illness * dementia, delirium, or other condition that limits ability to participate in education and consent process
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Participants Who Login to the Portal | 30 days post-discharge | Number of participants with at least 1 login to the portal in the 30 days after discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Participants that Perform Distinct Portal Functions | 30 days post-discharge | Proportion of participants that perform distinct portal functions (sending messages, requesting refill) |
| Proportion of participants that complete a telehealth | 30 days post-discharge | Proportion of participants that complete a telehealth visit during post-discharge period |
| Proportion of participants that are re-admitted | 30 days post-discharge | Proportion of participants that are re-admitted within 30 days after discharge |
Countries
United States
Outcome results
None listed